DR. MICHELLE WALLACE M.D.
NPI 1316111719
Pediatrics - Pediatric Cardiology in Stockbridge, GA

Q: What is Michelle Wallace's NPI number?

The NPI number for Michelle Wallace is 1316111719. It was assigned to this individual provider in the NPPES registry on April 16, 2008.

Q: What is Michelle Wallace's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Wallace was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 16, 2008PECOS Enrolled

202 VILLAGE CENTER PKWY, STOCKBRIDGE, GA 30281(404) 256-2593(770) 488-9408 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 30, 2026, Jan 25, 2021 (2 updates tracked since 2021).

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About Dr. Michelle Wallace M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHELLE WALLACE M.D. (NPI 1316111719) is an individual pediatric cardiology provider in Stockbridge, Georgia, licensed in Georgia (064090) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Morehouse School Of Medicine (2004).

NPPES Registry Identity

NPI1316111719

Entity TypeIndividualFemale

Primary Taxonomy2080P0202X

Provider Legal NameDR. MICHELLE WALLACECredential: M.D.

Location Address202 VILLAGE CENTER PKWYStockbridge, GA 30281-9044

Mailing Address2970 Brandywine Rd Ste 125Atlanta, GA 30341-5521 · (404) 256-2593 · Fax (770) 488-9408

Phone(404) 256-2593

Fax(770) 488-9408

Sole ProprietorNo

Medical School CMSMorehouse School Of MedicineGraduated 2004

Enumeration DateApril 16, 2008

Last NPPES UpdateApril 30, 20262 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1316111719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in GA · 064090

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedPediatricsTaxonomy 208000000X · License 141727 (NC)

202 VILLAGE CENTER PKWY, Stockbridge, GA 30281

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michelle Wallace M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517154123

PECOS Enrollment IDI20101208001110

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RONALD ALLEN LIGON JR. M.D.

Pediatrics (Pediatric Cardiology)

202 VILLAGE CENTER PKWY
STOCKBRIDGE, GA 30281

Henry County (770) 507-8461

DR. MATTHEW EDWARD OSTER MD

Pediatrics (Pediatric Cardiology)

202 VILLAGE CENTER PKWY
STOCKBRIDGE, GA 30281

Henry County (404) 256-2593

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Wallace's NPI number?

The NPI number for Michelle Wallace is 1316111719. It was assigned to this individual provider in the NPPES registry on April 16, 2008.

Where is Michelle Wallace located?

Michelle Wallace practices at 202 Village Center Pkwy, Stockbridge, GA 30281. The listed phone number is (404) 256-2593.

What is Michelle Wallace's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Michelle Wallace enrolled in Medicare?

Yes. Michelle Wallace is registered in the Medicare PECOS enrollment system.

What insurance does Michelle Wallace accept?

Health plans from Alliant Health Plans, Inc. list Michelle Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michelle Wallace was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.